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A 30-year old Caucasian woman who works the night shift has been found to have early

bone loss and has a high risk for osteomalacia and bone degradation. She asks the t

nurse exactly why she should take Vitamin D supplements. What is the nurse's bes

response?



1. "It's a standard part of the overall nutritional treatment for the prevention of

osteomalacia"



2. "It helps your intestines absorb calcium, which is important for bone formation."



3. "It stimulates skin cells to produce calcium, which is then released into the

bloodstream to be used for bone formation."



4. "Vitamin D supplements should not be taken by someone of your age." - ans1. "It's a

standard part of the overall nutritional treatment for the prevention of osteomalacia"

Incorrect - While this is true, it doesn't answer the woman's question.



2. "It helps your intestines absorb calcium, which is important for bone formation." Correct - This is the
correct mechanism of action for Vitamin D



3. "It stimulates skin cells to produce calcium, which is then released into the


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bloodstream to be used for bone formation."

Incorrect- This is not the correct mechanism of action for Vitamin D



4. "Vitamin D supplements should not be taken by someone of your age."

Incorrect - Vitamin D supplements should be taken for patients who are homebound, institutionalized,
or by some other limitations, unable to meet daily requirements. This woman works the night shift,
which may limit her ability to absorb Vitamin D naturally.



A 45-year old woman is prescribed ropinirole (Requip) for Parkinson's Disease. The patient is living at
home with her daughter. The nurse is most concerned about which side effect of ropinirole?



1. Slurred speech

2. Sudden dizziness

3. Masklike facial expression

4. Stooped Posture - ans1. Slurred speech

Incorrect - Slurred speech is a common symptom of PD, not a side effect of this drug.



2. Sudden dizziness

Correct - Dizziness and orthostatic hypotension are serious adverse effects of this drug that can lead to
an increased risk of falls. Ropinirole's drug class is a dopamine agonist, which mimic dopamine in the
brain (PD is characterized by a lack of dopamine).



3. Masklike facial expression

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Incorrect - Masklike facial expression is a common symptom of PD, not a side effect of this drug.



4. Stooped Posture

Incorrect - Stooped Posture is a common symptom of PD, not a side effect of this drug.



A 65 year old man is prescribed Flomax (Tamsulosin) for Benign Prostatic Hyperplasia.

The patient lives in an upstairs apartment. The nurse is most concerned about which

side effect of Flomax?



1. Hypotension



2. Tachycardia

3. Back Pain

4. Difficulty Urinating - ans1. Hypotension

Correct - Hypotension can lead to dizziness and a risk for injury to the patient.



2. Tachycardia

Tachycardia can be a side effect of Flomax, but is not an immediate safety risk, nor is it

a common side effect.



3. Back Pain

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Back Pain can be a side effect of Floma, but is not a safety risk



4. Difficulty Urinating

Dysuria is a symptom of Benign Prostatic Hyperplasia, not a side effect of Flomax



While receiving normal saline infusions to treat a GI bleed, the nurse notes that the patient's lower legs
have become edematous and auscultates crackles in the lungs. What should the nurse do first?



1. Stop the saline infusion immediately

2. Notify Physician

3. Elevate the patient's legs

4. Continue the infusion, since these are normal findings - ans1. Stop the saline infusion
immediately

CORRECT - the patient has a fluid volume overload as a result of overly rapid fluid replacement. The
nurse should stop the infusion and notify the physician.



2. Notify Physician

This is not the first action the nurse should take.



3. Elevate the patient's legs

This would help with the edema, but is not a priority



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